Meets/communicates with Provider Educators to ensure that education is uniform and consistent for both providers and coders for any given area.
Secondary Responsibilities
Assists Leads with coding e-mail queries for difficult scenarios
Researches, analyzes, and responds to inquiries for challenging coding scenarios regarding compliance, inappropriate coding, denials, and billable services
Participates in recruitment process including evaluation of resumes, interviews and correction/analysis of coding assessment test
Meets with the Coding & Compliance department as needed to discuss concerns, make plans for processes/procedures
Participates in required huddles with leadership team to communicate ongoing training needs
Participates in advisory team meetings to discuss coding guidelines and best practices for consistent coding across Depts/Service Areas.
Other job-related duties as assigned
Associates degree in Healthcare, Business or related field plus 5 years of production coding experience OR equivalent combination of education and experience
Detailed knowledge of medical coding systems, procedures, and documentation requirements
Knowledge of auditing concepts and principles
Certification in CPC, CPC-H, RHIT, or RHIA
Completed coding education and certification from an accredited institution such as AHIMA or AAPC (CPC, CPC-H, RHIT, RHIA)
Solid understanding of 2023 E/M guidelines
Specialty coding experience in a variety of specialties including but not limited to, OB/GYN, GI, ENT, Pulmonary, Endocrinology, Pediatric Medicine, Hospitalists and Telemedicine
Job Related Knowledge, Skills and Abilities (Competencies)
Ability to analyze and solve problems
Ability to develop and implement a training plan
Excellent oral, written, communication, and analytical skills
Ability to use independent judgment and to manage and impart confidential information.
Ability to set priorities and meet deadlines
Strong communication and interpersonal skills
Knowledge of legal, regulatory, and policy compliance issues related to medical coding procedures and documentation
Knowledge of current and developing issues and trends in medical coding procedures requirements
Associates degree in Healthcare, Business or related field plus 5 years of production coding experience OR equivalent combination of education and experience
Detailed knowledge of medical coding systems, procedures, and documentation requirements
Knowledge of auditing concepts and principles
Certification in CPC, CPC-H, RHIT, or RHIA
Completed coding education and certification from an accredited institution such as AHIMA or AAPC (CPC, CPC-H, RHIT, RHIA)
Solid understanding of 2023 E/M guidelines
Specialty coding experience in a variety of specialties including but not limited to, OB/GYN, GI, ENT, Pulmonary, Endocrinology, Pediatric Medicine, Hospitalists and Telemedicine
Job Related Knowledge, Skills and Abilities (Competencies)
Ability to analyze and solve problems
Ability to develop and implement a training plan
Excellent oral, written, communication, and analytical skills
Ability to use independent judgment and to manage and impart confidential information.
Ability to set priorities and meet deadlines
Strong communication and interpersonal skills
Knowledge of legal, regulatory, and policy compliance issues related to medical coding procedures and documentation
Knowledge of current and developing issues and trends in medical coding procedures requirements